| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,750 |
7,223 |
$731K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,055 |
9,440 |
$646K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,901 |
7,612 |
$277K |
| 99215 |
Prolong outpt/office vis |
1,810 |
1,700 |
$224K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,240 |
2,193 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,597 |
1,521 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,121 |
1,110 |
$106K |
| 92552 |
|
5,674 |
5,421 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
738 |
673 |
$63K |
| 96127 |
|
4,760 |
4,260 |
$57K |
| 99173 |
|
5,273 |
5,040 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,740 |
3,158 |
$45K |
| 99354 |
|
504 |
497 |
$38K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,425 |
2,264 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
576 |
552 |
$22K |
| H0049 |
Alcohol and/or drug screening |
2,208 |
2,080 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
878 |
863 |
$17K |
| 0071A |
|
182 |
148 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
591 |
547 |
$9K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
293 |
281 |
$8K |
| 0072A |
|
142 |
138 |
$8K |
| 99000 |
|
4,823 |
4,463 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,958 |
1,855 |
$6K |
| 99401 |
|
151 |
141 |
$4K |
| 90686 |
|
3,256 |
3,173 |
$3K |
| 0002A |
|
35 |
32 |
$2K |
| 90461 |
|
2,433 |
2,371 |
$1K |
| 99174 |
|
66 |
66 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
65 |
$1K |
| 87081 |
|
125 |
118 |
$1K |
| 0001A |
|
22 |
17 |
$943.60 |
| 90670 |
|
134 |
129 |
$797.23 |
| 90734 |
|
70 |
67 |
$762.63 |
| 36416 |
|
298 |
275 |
$676.98 |
| 90621 |
|
27 |
25 |
$656.22 |
| 0054A |
|
13 |
13 |
$535.34 |
| 85018 |
|
175 |
171 |
$484.57 |
| 90698 |
|
117 |
115 |
$367.94 |
| 86580 |
|
51 |
49 |
$313.20 |
| 90651 |
|
49 |
46 |
$304.17 |
| 90649 |
|
91 |
88 |
$236.84 |
| 90688 |
|
71 |
67 |
$144.36 |
| 94760 |
|
32 |
30 |
$81.28 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |